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MedicaidAdministrativeMedium impact

2024.06 - Provider Bulletin Payment Error Rate Measurement Program Audit Requests PDF

Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid and CHIP providers must respond to Payment Error Rate Measurement (PERM) program audit requests from Empower AI Inc. Providers have 75 days to submit requested medical records and documentation, with additional requests requiring a 15-day response time.

Action Required

Action needed
Immediately: Billing and medical records teams must establish procedures to respond to PERM audit requests from Empower AI Inc. within 75 days for initial documentation requests and 15 days for additional information requests. Ensure complete medical records are maintained and readily accessible. Contact Darrell Grant at darrell.grant@ct.gov for questions. Failure to provide timely, complete documentation will result in claim errors and potential reimbursement recovery by the state.